• REQUIRED FORMS FOR ATHLETIC PARTICIPATION
     
    Every Athlete or Student Manager is required to submit an athletic form for participation:
    • Athletes: five (5) athletic forms (#1- #5 below)
    • Managers: three (3) athletic forms (#2-#4 below)
     
    All forms must be completed in their entirety and submitted to the BMMS Office prior to participation in any sports practice or tryouts regardless of whether tryouts are held
     
    • Deadlines for submitting forms will be posted and will run in the upcoming important date/deadlines section of this website
    • Forms submitted after the deadline may not be processed in time for participation in tryouts or practices on the first day
    • Incomplete forms will not be accepted and will be returned for completion
    • Forms may NOT be submitted to coaches at tryouts/practices
     
    REQUIRED FORMS:
     
    1) KSHSAA-PPE - Physical Form - 
    Requires the signature of doctor on page 2. Student and parent must sign the front and back of form.
    • The annual physical examination shall not be taken earlier than May 1 preceding the school year for which it is applicable
    • Doctor's signature MUST be signed and dated by an MD, DO, DC, PA-C or APRN ~ KSHSAA
    • If the forms is not completed in it's entirety it will be returned and the athlete may not participate until completed
    2) LPS - Insurance Compliance Form - 
    Requires parent signature and notarization ~ Form must be signed in front of the notary. We have a notary in the office at BMMS for your convenience.
     
    NOTEEvery athlete and manager is required to have accident insurance. If you are not currently covered by health insurance you may purchase accident insurance through Student Assurance Services. Forms are available at LHS
     
     3) KSHSAA - Concussion Release Form - 
    • Requires the signature of the student and parent
     
       4) LPS - Code of Conduct Form - 
    • Requires the signature of the student and parent
     
       5) LPS - Tryout/Participation Form - 
    • Requires the signature of the student and parent

     

     ***The KSHSAA has updated the PPE form. Prior versions will not be accepted
     
     
     
    OPTIONAL FORMS :
     
     
    STUDENT ASSURANCE OPTIONAL ACCIDENT INSURANCE
    As a service to the community, Lawrence Public Schools has contracted with Student Assurance Services to provide optional student accident insurance. This is a valuable option to parents/guardians who, because of various reasons, do not have health insurance. It is also an excellent way to supplement health insurance if you have a large deductible or co-insurance, including HSA plans.  
     
    Billy Mills Middle School can provide information about our district’s Student Accident Insurance Brochure as part of the registration process.

    This program is beneficial for students whose families have a high deductible, in-between jobs or don’t have any insurance.

    Please let me know if you have any questions or concerns.

    Sincerely,
    David Desch, Sales Director
    Student Assurance Services, Inc.
    Phone: (800) 328-2739
    E-mail: davidd@sas-mn.com